Electrolytes Question #61


A client has a history of taking over the counter magnesium supplements. Which finding would indicate to the nurse that the client is experiencing hypermagnesemia?


  1. Hyperreflexia
    • Rationale:
  2. Tetany
    • Rationale:
  3. Hypertension
    • Rationale:
  4. Paralytic ileus
    • Rationale:



The correct answer is D. Paralytic ileus is a symptom of hypermagnesemia. Hyperreflexia, tetany, and hypertension are not symptoms of hypermagnesemia.

NCLEX TIP: Using critical thinking is recommended when reading priority questions. Recognizing key words in the answer choices will allow you to know how to choose the correct answer for the question. Go through each answer choice and decide is it: Maslow’s hierarchy, safety-related, or following the nursing process (ADPIE). Never complete a nursing action that is outside the scope of practice.

Learning Outcomes

Test Taking Tip

Video Rationale